you think there are a lot of inefficiencies in the system? when you look at medical devices and pharma and doctors and insurance, yes, there's room. as we lead up to the exchange that will be put in place in 2014, that's where we should be working. here's the compromise. the exchange opens in 2014. this is a republican designed concept where you allow the free market and competition to take place. and a lot of good benefits, many of which are in effect already, including dealing with pre- existing conditions, capping costs so no one has to lose their house over health care, providing for screening and preventive health care, allowing kids to stay on their parents' policy. until age 26 let's make it more successful, attract small businesses, and make health care more affordable, drive down the debt, and keep this economy humming.